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PERMIT APPLICATION <br /> BUILDING / MECHANICAL/ PLUMBING / SIGN /SFRNdKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 447T 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: PROPERTY TAX#: 284041000100200 <br /> 3003 W Casino Rd,Everett,WA 98204 <br /> LEGAL for new construction: Short Plattsubdivision SIC 10N 28RGENE12-SEC EXCCASINO RD Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Boeing TENANT NAME(If Commercial): Boeing Company <br /> OWNER MAILING ADDRESS: STREET Building 40-05, 6011' <br /> CITY EVERETT STATE WA zip 98204 <br /> OWNER PHONE: OWNER EMAIL: 8� <br /> CONTRACTOR NAME: MacDonald Miller <br /> CONTRACTOR ADDRESS: STREET 7717 Detroit Ave SW <br /> clTv Seattle STATE WA zip 98106 <br /> CONTRACTOR PHONE: (206) 768-4278 CONTRACTOR EMAIL: permits@macmiIler.com <br /> CONTRACTOR LICENSE#(REQUIRED): MACDOFS980RU CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 040665 <br /> PRIMARY CONTACT: ❑OWNER ©CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: Joyce Copley CONTACT PHONE: (206) 768-4278 <br /> CONTACT EMAIL: Joyce.Copley@macmiIler.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: CALL CENTER Contract Price of Work:$ OS o <br /> Proposed Use of Building. NO CHANGE Heat Source: ❑Gas ®Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ®Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ©T.I. ❑Sin ❑Sprinkler ❑Demolition ❑Chan a of Use <br /> DESCRIPTION OF WORK: <br /> Bldg 40-05-we are replacing qty(4)existing dnnking tourtans.:stn new ones in same locations—value=$8,500 <br /> ASSOCIA1 ru UUiLulNU rtKMi i tt(If applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn X Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hooku s Other:VAV Boxes Clothes Washer Medical Gas <br /> Range Hood Water Heater Other. <br /> Exhaust Fan Sink (,Service/Bar/Mop/etc. Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Number of Heads <br /> ACKNOWLEDGEMENT.'l have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with <br /> current federal,state,and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official before being authorized under any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> �-� Po D�� 1/12/2016 PERMIT# I <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />